正颌外科治疗老年患者的生活质量评估
Quality of Life Assessment for Elderly Patients Treated With Orthognathic Surgery.
作者信息
Avelar Rafael Linard, Silva Paulo Goberlanio de Barros, Magalhaes Maria Thereza Carvalho de, Parente Antônia Edivanda Aguiar, Alencar Natália Maria Carvalho de, Barros Livia de Oliveira
机构信息
Unichristus University Center, Fortaleza, Brazil.
出版信息
J Craniofac Surg. 2019 Oct;30(7):e633-e637. doi: 10.1097/SCS.0000000000005728.
AIM
The purpose of the present study was to evaluate the impact of orthognathic surgery on quality of life (QoL) in elderly patients.
METHODS
Twenty patients who underwent orthognathic surgery to correct Angle Class I, II e, III relations were evaluated. Condition-specific QoL through a 22-item Orthognathic Quality of Life Questionnaire (OQLQ) and generic oral health-related QoL through a 14-item short-form Oral Health Impact Profile (OHIP-14) were assessed.
RESULTS
A statistically significant reduction (P < 0.001) in the average overall score was detected between the presurgical and postsurgical assessments. Male group showed significant improvement in physical pain (P = 0.047) and psychological discomfort (P = 0.039). No difference was found between the OHIP-14 (P = 0.582) and OQLQ (P = 0.525) total scores for the type of surgery (mono-maxillary or bimaxillary).
CONCLUSIONS
Orthognathic surgical treatment had a positive impact on oral health-related QoL in the patients evaluated. The results of this study emphasize the concept that dental esthetics influence patients' oral health-related QoL.
目的
本研究旨在评估正颌手术对老年患者生活质量（QoL）的影响。
方法
对20例接受正颌手术以矫正安氏Ⅰ类、Ⅱ类及Ⅲ类关系的患者进行评估。通过一份包含22个条目的正颌生活质量问卷（OQLQ）评估特定病情的生活质量，并通过一份包含14个条目的简化版口腔健康影响程度量表（OHIP-14）评估一般口腔健康相关的生活质量。
结果
术前和术后评估之间检测到平均总分有统计学显著降低（P<0.001）。男性组在身体疼痛（P=0.047）和心理不适（P=0.039）方面有显著改善。手术类型（单颌或双颌）的OHIP-14总分（P=0.582）和OQLQ总分（P=0.525）之间未发现差异。
结论
正颌手术治疗对所评估患者的口腔健康相关生活质量有积极影响。本研究结果强调了牙齿美观影响患者口腔健康相关生活质量这一概念。
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